Medical Billing and Coding Specialist Salary in Virginia: $29,997 (2026)

The landscape for medical billing and coding salaries in Virginia shows an average median salary of $29,997 in 2026, which is slightly below the national median of $30,349, resulting in a difference of 1.2%. The salary range across the state's cities varies significantly; Charlottesville leads with $37,150, while Winchester falls to $23,477, marking a substantial gap of $13,673. This disparity can be attributed to factors like local cost of living, demand for services, and the concentration of healthcare facilities. Virginia has specific licensing requirements and scope of practice laws that affect the profession, but demand remains steady, driven by the state's growing healthcare sector and the ongoing need for accurate patient data management. As of 2026, the job market for medical billing and coding specialists shows a projected annual growth rate of 2.32%, reflecting robust employment opportunities within the state. In terms of other key cities, Alexandria offers a salary of $34,607, Richmond provides $30,486, Norfolk at $30,471, and Chesapeake with $30,139. These figures underline the relatively stable earnings in urban centers, while rural areas may lag behind. Overall, Virginia presents solid prospects for those entering the medical billing and coding field, particularly in cities with concentrated healthcare services.